E N T R Y   F O R M
Competition:
Name:
  First name* Last name*
Address:   
  Post code*             Country* City*
 
  Street* fax number (for case of change)
E-mail address*
Affiliation:
Gun:
  product                         type                 serial no.         caliber
Gun (2nd, if any):
  product                         type                 serial no.         caliber
Place and date of the border cross:
Special class:  Lady Junior Senior Date of birth:  
  Year/month/day    
IPSC division:  Standard          Open  Modified
IPSC power factor:  Minor Major